by Universal Income Project

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* 1. Contact Information

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* 2. How did you become interested in Basic Income?

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* 3. What excites you most about Basic Income? (Check up to three.)

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* 4. What Basic Income communities are you engaged in? (Check all that apply)

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* 5. I’m interested in… (Check all that apply)

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* 6. Have you volunteered for Basic Income initiatives before?

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* 7. How would you describe yourself politically?

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* 8. Can we follow up with you by email on Basic Income updates and events in your area?

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